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General NPI Number Information
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NPI Number | 1538469366
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Entity Type | Individual
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Provider Name | CARLINA DAMIANOU D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 10/27/2010
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Last Update Date | 11/03/2014
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Provider Practice Location Address
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Address Line | 42-37 HAMPTON ST.
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City | ELMHURST
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State | NY
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Zip | 11373
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Country | US
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Telephone | 718-899-5309
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Fax | 718-899-5309
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Provider Business Mailing Address
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Address Line | 42-37 HAMPTON ST.
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City | ELMHURST
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State | NY
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Zip | 11373
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Country | US
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Telephone | 718-899-5309
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Fax | 718-899-5309
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0406371
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License Number State | NY
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